▸ Payer

highmark_wholecare_gateway_medicaid

Negotiated rates published by hospitals for highmark_wholecare_gateway_medicaid across 0 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

137

States

Rate rows

647

Median neg. rate

$171.88

Top procedures for highmark_wholecare_gateway_medicaid

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
MRI brain without contrast	CPT	70551	6	$422.01
MRI brain with and without contrast	CPT	70553	6	$423.75
MRI lumbar spine without contrast	CPT	72148	6	$320.19
CT abdomen and pelvis without contrast	CPT	74176	6	$210.36
MRI cervical spine without contrast	CPT	72141	6	$423.75
MRI thoracic spine without contrast	CPT	72146	6	$326.69
MRI cervical spine with and without contrast	CPT	72156	6	$423.75
MRI lumbar spine with contrast	CPT	72158	6	$423.75
MRI upper extremity joint with and without contrast	CPT	73223	6	$716.13
CT head without contrast	CPT	70450	6	$145.94
CT chest without contrast	CPT	71250	6	$166.99
CT chest with contrast	CPT	71260	6	$181.44
CT cervical spine without contrast	CPT	72125	6	$166.99
CT thoracic spine without contrast	CPT	72128	6	$176.36
CT lumbar spine without contrast	CPT	72131	6	$173.24
CT pelvis without contrast	CPT	72192	6	$140.63
CT abdomen and pelvis with contrast	CPT	74177	6	$328.95
CT abdomen and pelvis with and without contrast	CPT	74178	6	$415.9
Abdominal ultrasound complete	CPT	76700	6	$119.09
Abdominal ultrasound limited	CPT	76705	6	$78.13
Retroperitoneal ultrasound complete	CPT	76770	6	$101.88
Scrotal ultrasound	CPT	76870	6	$92.5
Chest X-ray single view	CPT	71045	6	$19.35
Chest X-ray 2 views	CPT	71046	6	$29.55
Lumbosacral spine X-ray	CPT	72100	6	$40.66
Shoulder X-ray	CPT	73030	6	$31.15
Humerus X-ray	CPT	73060	6	$23.75
Hand X-ray 3 views	CPT	73130	6	$23.75
Knee X-ray 1-2 views	CPT	73560	6	$30.68
Ankle X-ray 3 views	CPT	73610	6	$33.46

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Top 20 cheapest hospitals for highmark_wholecare_gateway_medicaid

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
WellSpan Surgery & Rehabilitation Hospital	—	—	$239.7
WellSpan Waynesboro Hospital	—	—	$283.97
WellSpan Chambersburg Hospital	—	—	$356.39
WellSpan Ephrata Community Hospital	—	—	$359.08
WellSpan Gettysburg Hospital	—	—	$371.6
WellSpan York Hospital	—	—	$406.92

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